Individual
MADISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
231 SHAMROCK RD, CHARLOTTESVILLE, VA 22903-3736
(804) 337-6535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86118230
VA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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